CompetenceNCT02878356
Acquisition of MI Competence Trough the Training Methods Used in the Swedish County Councils and Municipalities
A study testing Regular MI-training, Regular MI-training + supervision half and Regular MI-training + supervision full in people with Competence, run by Karolinska Institutet at 1 site in Sweden.
Trial summary
In the Swedish county councils and municipalities, Motivational Interviewing (MI) training with different forms and content is taking place as part of the implementation of the method. Read more about this study
- Who is it for?
- Ages 18 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Competence
- What is being tested?
- Regular MI-training, Regular MI-training + supervision half and Regular MI-training + supervision full
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 174 participants
- Where
- 1 siteSweden
- Study dates
- Jan 2013to Oct 2014
- Phase
- Interventional
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- Subjects are practitioners that attend MI-training in five different Swedish county councils 2013-2014.
Who cannot join
- Practitioners younger than 18 and older than 65
Trial locations and contacts
1 site in 1 country.
Sweden1 site
MIC Lab, Department of Clinical Neuroscience, Karolinska Institutet
Stockholm, Stockholm County, 117 63
About this study
In the Swedish county councils and municipalities, Motivational Interviewing (MI) training with different forms and content is taking place as part of the implementation of the method. The study aims to evaluate to what extent the practitioners acquire and retain MI skills trough the different training methods used by comparing them with a format that in previous studies has shown to be required for the long-term acquisition of proficiency in MI; training including supervision consisting of feedback based on monitoring of practice.
Read the detailed description
The basis for a successful implementation of an evidence-based treatment in routine clinical care is quality assessment of all stages of delivery, implementation and evaluation. In the Swedish county councils and municipalities, Motivational Interviewing (MI) training with different forms and content is taking place as part of the implementation of the method.
Aims: To evaluate to what extent the practitioners acquire and retain MI skills through the different training methods used in the Swedish county councils and municipalities by comparing them with a format that in previous studies has shown to be required for the long-term acquisition of proficiency in MI; training including supervision consisting of feedback based on monitoring of practice.
Method: In 2013-2014, 175 practitioners that attend MI training in five different county councils and municipalities in Sweden will be randomized to one of the study's three groups: (a) "Regular training" (n= 66), b) "Regular training" followed by six individual supervision sessions at monthly intervals based on only the behavior counts component of the Motivational Interviewing Treatment Integrity (MITI) Code (n= 67), and (c) "Regular training" followed by supervision based on both the behavior counts and the five global dimensions of the MITI (n= 67). All practitioners will record three sessions: one before " regular training", one after "regular training" and one six month after training. The practitioners in group b and c will record five additional sessions in conjunction with the supervision. All supervision and recording sessions will be made over the phone with actors role-playing clients. The sessions will be assessed for proficiency in MI by MIC Lab at the Karolinska Institute according to the Swedish translation of MITI 3.1.
Time Frame: The specific time points at which the outcome measure (the Swedish version of the MITI, version 3.1.) will be assessed are:
- Before the county councils' workshop trainings (pre-workshop).
- Directly after the workshop trainings (post-workshop).
- Six months after the workshop trainings (follow-up). => Since the different county council workshop trainings differ in time (e.g. one to four month) the participants from the different county councils will be followed for a period in between seven month (one + six) to ten month (four + six).
The participants randomized to the two groups with additional supervision will also be assessed five times between the post-workshop and the follow-up assessment (e.g. every month).
- Conditions
- Competence
- Being tested
- Regular MI-training, Regular MI-training + supervision half, Regular MI-training + supervision full
- Keywords
- Motivational Interviewing, Clinical supervision, Education
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Regular MI-trainingBehavioural
Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities
Regular MI-training + supervision halfBehavioural
Regular MI-training followed by six individual MI-supervision sessions at monthly intervals based on only the behavior counts component of MITI (n= 58)
Regular MI-training + supervision fullBehavioural
Regular MI-training followed by MI-supervision based on both the behavior counts and the five global dimensions of MITI (n= 58)
| Study group | Role | What they receive |
|---|---|---|
| Regular MI-training | Active comparator | Regular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities Receives: Behavioral: Regular MI-training |
| Regular MI-training + supervision half | Active comparator | Regular MI-training followed by six individual MI-supervision sessions at monthly intervals based on only the behavior counts component of MITI (n= 58) Receives: Behavioral: Regular MI-training; Behavioral: Regular MI-training + supervision half |
| Regular MI-training + supervision full | Active comparator | Regular MI-training followed by MI-supervision based on both the behavior counts and the five global dimensions of MITI (n= 58) Receives: Behavioral: Regular MI-training; Behavioral: Regular MI-training + supervision full |
What is being measured
The primary outcome is the main question the study is designed to answer.
Acquisition of MI competence
The effectiveness of the county council workshop trainings will be measured with mean differences between the pre- and post-workshop assessment. The impact of the additional telephone supervision on the county councils' workshop trainings will be measured with mean differences between the post-workshop and the follow-up assessment.
All acquisition of MI competence will be assessed by the Swedish version of the MITI, version 3.1. The MITI is a coding system with good psychometric properties widely used as a treatment integrity measure and as a feedback tool to improve MI skills in training and in clinical practice (Moyers, Martin, Manuel, Hendrickson, \& Miller: Assessing competence in the use of motivational interviewing. Journal of Substance Abuse Treatment 2005, 28:19-26.).
Measured: Change from Baseline (pre-workshop) in MI competence assessed by the Swedish version of the MITI, directly after the workshop trainings (post-workshop), and six months after the workshop trainings (follow-up).
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 Aug 2016 (estimated)
- Study startJan 2013
- Primary completionOct 2014
- Study completionOct 2014
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for CompetenceStudies of the same condition, open and under way.
- More trials run by Karolinska InstitutetThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase N/A
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Enrolment
- 174 participants (actual)
Sponsor and investigators
- Lead sponsor
- Karolinska Institutet
- Sponsor type
- University, hospital or other
- Collaborators
- Ministry of Health and Social Affairs, Sweden
- Responsible party
- Principal investigator, Lars Forsberg, Karolinska Institutet
- Investigators
- Lars Forsberg, PhD, Study director, Karolinska Institutet
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02878356
- Sponsor's protocol ID
- R30024-2 AAMR
- Status last verified
- Aug 2016
- First submitted
- 13 Feb 2014
- Last updated
- 25 Aug 2016
- Results posted
- No
- Data monitoring committee
- No
- Individual data sharing
- No: No individual participant data will be available.
Study at a glance
From the registry record, last updated by the sponsor on 25 Aug 2016. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Acquisition of MI Competence Trough the Training Methods Used in the Swedish County Councils and Municipalities
- ClinicalTrials.gov ID
- NCT02878356
- Acronym / sponsor ID
- R30024-2 AAMR
- Conditions
- Competence
- Keywords
- Motivational Interviewing, Clinical supervision, Education
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 174 participants (actual)
- Lead sponsor
- Karolinska InstitutetUniversity, hospital or other
- Collaborators
- Ministry of Health and Social Affairs, Sweden
- Study start
- Jan 2013
- Primary completion
- Oct 2014 (actual)
- Study completion
- Oct 2014 (actual)
- First posted
- 25 Aug 2016 (estimated)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
In the Swedish county councils and municipalities, Motivational Interviewing (MI) training with different forms and content is taking place as part of the implementation of the method. The study aims to evaluate to what extent the practitioners acquire and retain MI skills trough the different training methods used by comparing them with a format that in previous studies has shown to be required for the long-term acquisition of proficiency in MI; training including supervision consisting of feedback based on monitoring of practice.
Detailed description
The basis for a successful implementation of an evidence-based treatment in routine clinical care is quality assessment of all stages of delivery, implementation and evaluation. In the Swedish county councils and municipalities, Motivational Interviewing (MI) training with different forms and content is taking place as part of the implementation of the method.
Aims: To evaluate to what extent the practitioners acquire and retain MI skills through the different training methods used in the Swedish county councils and municipalities by comparing them with a format that in previous studies has shown to be required for the long-term acquisition of proficiency in MI; training including supervision consisting of feedback based on monitoring of practice.
Method: In 2013-2014, 175 practitioners that attend MI training in five different county councils and municipalities in Sweden will be randomized to one of the study's three groups: (a) "Regular training" (n= 66), b) "Regular training" followed by six individual supervision sessions at monthly intervals based on only the behavior counts component of the Motivational Interviewing Treatment Integrity (MITI) Code (n= 67), and (c) "Regular training" followed by supervision based on both the behavior counts and the five global dimensions of the MITI (n= 67). All practitioners will record three sessions: one before " regular training", one after "regular training" and one six month after training. The practitioners in group b and c will record five additional sessions in conjunction with the supervision. All supervision and recording sessions will be made over the phone with actors role-playing clients. The sessions will be assessed for proficiency in MI by MIC Lab at the Karolinska Institute according to the Swedish translation of MITI 3.1.
Time Frame: The specific time points at which the outcome measure (the Swedish version of the MITI, version 3.1.) will be assessed are:
- Before the county councils' workshop trainings (pre-workshop).
- Directly after the workshop trainings (post-workshop).
- Six months after the workshop trainings (follow-up). => Since the different county council workshop trainings differ in time (e.g. one to four month) the participants from the different county councils will be followed for a period in between seven month (one + six) to ten month (four + six).
The participants randomized to the two groups with additional supervision will also be assessed five times between the post-workshop and the follow-up assessment (e.g. every month).
Study design
- Primary purpose
- Health services research
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- None (open label)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| Regular MI-training | Active comparator | Behavioral: Regular MI-trainingRegular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities |
| Regular MI-training + supervision half | Active comparator | Behavioral: Regular MI-training, Behavioral: Regular MI-training + supervision halfRegular MI-training followed by six individual MI-supervision sessions at monthly intervals based on only the behavior counts component of MITI (n= 58) |
| Regular MI-training + supervision full | Active comparator | Behavioral: Regular MI-training, Behavioral: Regular MI-training + supervision fullRegular MI-training followed by MI-supervision based on both the behavior counts and the five global dimensions of MITI (n= 58) |
Who may qualify
- Ages
- 18 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Subjects are practitioners that attend MI-training in five different Swedish county councils 2013-2014.
Key exclusion criteria (1 listed)
- Practitioners younger than 18 and older than 65
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Regular MI-trainingRegular training (n= 59) the Motivational Interviewing (MI) -training methods used in the Swedish county councils and municipalities | Behavioural | Regular MI-training, Regular MI-training + supervision full, Regular MI-training + supervision half |
| Regular MI-training + supervision halfRegular MI-training followed by six individual MI-supervision sessions at monthly intervals based on only the behavior counts component of MITI (n= 58) | Behavioural | Regular MI-training + supervision half |
| Regular MI-training + supervision fullRegular MI-training followed by MI-supervision based on both the behavior counts and the five global dimensions of MITI (n= 58) | Behavioural | Regular MI-training + supervision full |
Primary outcome
Acquisition of MI competence
Time frame: Change from Baseline (pre-workshop) in MI competence assessed by the Swedish version of the MITI, directly after the workshop trainings (post-workshop), and six months after the workshop trainings (follow-up).
The effectiveness of the county council workshop trainings will be measured with mean differences between the pre- and post-workshop assessment. The impact of the additional telephone supervision on the county councils' workshop trainings will be measured with mean differences between the post-workshop and the follow-up assessment. All acquisition of MI competence will be assessed by the Swedish version of the MITI, version 3.1. The MITI is a coding system with good psychometric properties widely used as a treatment integrity measure and as a feedback tool to improve MI skills in training and in clinical practice (Moyers, Martin, Manuel, Hendrickson, \& Miller: Assessing competence in the use of motivational interviewing. Journal of Substance Abuse Treatment 2005, 28:19-26.).
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 Aug 2016.
- The website of Motivational Interviewing Coding Laboratory (MIC Lab)Link provided by the sponsor.
- Individual participant dataSharing planned: No. No individual participant data will be available.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Lars Forsberg, PhD study director
Karolinska Institutet
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A study testing Regular MI-training, Regular MI-training + supervision half and Regular MI-training + supervision full in people with Competence, run by Karolinska Institutet at 1 site in Sweden.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 Aug 2016. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in Sweden. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Acquisition of MI competence (time frame: Change from Baseline (pre-workshop) in MI competence assessed by the Swedish version of the MITI, directly after the workshop trainings (post-workshop), and six months after the workshop trainings (follow-up).). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 Aug 2016.